Clinical Admission Nurse

2 days ago

Winfield, Illinois, United States Northwestern Medicine Full time
Job Summary

We are seeking a highly skilled Clinical Admission Nurse to join our team at Northwestern Medicine. The successful candidate will be responsible for coordinating patient admissions, ensuring a smooth transition from hospital to home, and promoting efficient patient flow.

Key Responsibilities
  • Access Point Resource: Serve as a primary point of contact for physicians, staff, and patients, providing timely and accurate information to facilitate patient admissions.
  • Admission Coordination: Collaborate with healthcare teams to ensure patients receive the most appropriate level of care, based on their medical needs and insurance coverage.
  • Clinical Decision Making: Apply approved criteria and guidelines to make informed decisions about patient admissions, taking into account managed care rules and practices.
  • Communication and Coordination: Effectively communicate with patients, families, and healthcare providers to ensure seamless transitions and optimal patient outcomes.
  • Transportation and Logistics: Arrange transportation for patients as needed, coordinate services, and notify points of entry of patient arrivals.
  • Medical Necessity: Query admitting physicians for additional information to ensure medical necessity for admission or appropriate level of care.
  • Outlier Cases: Refer cases to physician advisors for review and guidance on outlier cases.
  • Registration and Demographics: Coordinate admission with registration staff to obtain accurate patient demographics.
  • Referrals and Coordination: Refer patients to patient financial services, risk management, peer review, infection control, and patient relations as needed.
  • Outpatient Resources: Knowledgeable of available outpatient resources and sites of care within the organization for referral to lesser levels of care when appropriate.
  • Patient Flow and Throughput: Coordinate patient activity and flow or movement between levels of care, identifying potential throughput barriers and proactively informing upper management of anticipated delays.
  • Clinical Review and Determination: Review clinical information against Milliman criteria to determine patient class and level of care needed.
  • MD Consultation: Confer with physicians to discuss clinical and appropriate level of care when needed.
Qualifications
  • Education: Bachelor of Science in Nursing (BSN) required for all new hires.
  • Experience: At least two to five years of patient care experience in a hospital setting.
  • Critical Thinking and Problem-Solving: Able to multi-task quickly, process multi-factorial stimulation accurately, and make decisive judgments with minimal supervision.
  • Preferred Qualifications: Past experience in admissions, utilization review activities, discharge planning, and/or case management.
Equal Opportunity Employer

Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national origin, gender identity, veteran status, disability, sexual orientation, or any other protected status.

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